In 2018, Colorado aligned the state's Core Public Health Services (CPHS) framework at that time with the national Foundational Public Health Services (FPHS) framework. Though the term "core public health services" is still used in Colorado Statue 6 CCR 1014-7 Core Public Health Services, the statute was revised to codify the alignment of the two frameworks.
The FPHS framework components consist of foundational capabilities and services that represent a subset of all public health services and the CPHS framework already included over 75% of the FPHS model components. This large amount of agreement in the frameworks resulted in minimal customizations required to fully align the two frameworks to result in the current Colorado foundational public health services framework.
There were three customizations needed to align CPHS with FPHS:
- CPHS Vital Records became a function within FPHS Assessment and Planning. The FPHS capability name was modified from Assessment/Surveillance to Assessment and Planning.
- CPHS Prevention and Population Health Promotion split into two foundational services: (1) Chronic Disease, Injury Prevention, and Behavioral Health Promotion, and (2) Maternal, Child, Adolescent, and Family Health.
- CPHS Health Equity and Social Determinants of Health was added as a foundational capability instead of existing as a function within Organizational Competencies.
Click here for a visual of the CPHS-FPHS alignment
Foundational Capabilities are the cross-cutting capacities and expertise needed to support foundational services and any public health program. (CALPHO, Colorado's Core Public Health Services and Foundational Capabilities)
Foundational Services are the subset of services in each public health program area that are foundational to building and maintaining healthy communities. (CALPHO, Colorado's Core Public Health Services and Foundational Capabilities)
|Colorado Foundational Capabilities||Colorado Foundational Services|
|Assessment and Planning||Communicable Disease Prevention, Investigation and Control|
|Communications||Environmental Public Health|
|Policy Development and Support||Maternal, Child, Adolescent, and Family Health|
|Partnerships||Chronic Disease, Injury Prevention, and Behavioral Health Promotion|
|Emergency Preparedness and Response||Access to and Linkage with Healthcare|
|Health Equity and the Social Determinants of Health|
CPHS and FPHS Background
Colorado Core Public Health Services
National Foundational Public Health Services
In 2009, the National Academy of Medicine (now a part of the National Academies of Sciences, Engineering, and Medicine (NASEM) and formerly known as the Institute of Medicine) formed a committee to further explore three topics regarding population health: data and measurement, law and policy, and funding.
NASEM published the third and final report, "For the Public's Health: Investing in a Healthier Future" in 2012. The report called out the funding challenges in public health and the ambiguity surrounding what public health activities define the funding need. The report recommended, "public health agencies at all levels professional associations, policymakers and other 'stakeholders should endorse the need for a minimum package of public health services." (NASEM, For the Public's Health: Investing in a Healthier Future, 2012, page 6)
In response to this challenge, the Public Health Leadership Forum developed the national Foundational Public Health Services (FPHS) framework in April 2013. FPHS consists of foundational capabilities and services that were determined to be needed everywhere for public health to work anywhere. In 2018, Colorado voted to align Colorado's Core Public Health Services framework with the national FPHS framework.
See the Public Health National Center for Innovations for more information and resources on FPHS.